Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,818.38 / $7,943.28	Facility		$1,479.11	$2,818.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,818.38	Professional		$1,148.15	$1,380.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $3,467.37	Professional		$1,230.27	$2,398.83	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,818.38	Professional		$1,621.81	$2,137.96	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,019.95	Facility		$1,348.96	$1,905.46	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,951.21	Professional		$1,659.59	$2,041.74	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,290.87	Facility		$1,737.80	$2,187.76	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,754.23	Facility		$1,230.27	$1,659.59	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,187.76 / $3,090.30	Professional		$79.43	$2,187.76	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,090.30	Professional		$2,089.30	$2,398.83	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,162.28	Professional		$1,445.44	$2,238.72	$3,162.28